Qabeelat Durbah Financial Aid Application

Please complete the following by March 2nd, 2010*.

Current class:

Seminar:
Torch Bearers: Scholars of Islam
Taught by Shaykh Waleed Basyouni
March 12-14 & 20-21, 2010
Newark, New Jersey
Click here for full details

* Required

First Name:*

Last Name:*

Age*
Students 14 and under must submit an essay to registrar@durbah.org and forward financialaid@durbah.org their acceptance email. Aid will not be granted if we do not have confirmation from Registrar.

Gender:*

Are you a Durbah volunteer?*

Email Address*

Mailing Address:*
(Street ,City ,State ,Zip )

Primary Phone Number:*

Secondary Phone Number:

Please describe your financial situation and need for aid including any extenuating circumstances and/or expenses: *

How much will you be able to pay at the start of the seminar? *

List your last 5 exam scores:*
If you have not attended at least 5 seminar with AlMaghrib Institute, list your most recent exam scores. If this will be your first seminar, please indicate so in the answer box.

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